Lets talk about dental hygiene

As known, the teeth should be cleaned. But every mother asks herself a question: at what age to start brushing teeth appropriate for the child and whether to clean them at all?
Brush my teeth should be. To this there are several reasons: because baby teeth hold the space for the indigenous, the premature loss of several of them may distort jaw or gums.

Healthy teeth are of considerable importance in the development of speech and affect the external appearance is very important for adoption in the child’s self-esteem as a child who can not speak clearly because of bad teeth or keeping my mouth shut because of the embarrassment of their teeth or general they are missing, feels uncomfortable. Consequently, developing complexes and self-doubt.
And finally, if you’re an early age begin to clean your child’s teeth, he soon will be a habit to take care of their teeth.

• The first teeth can be cleaned by damp bandage or brush by very soft and thin (not more than three rows of setae) infant toothbrush.
• Brush may be slightly moistened with water.
• Brush your teeth as needed at least twice a day: after a night’s sleep and a night before bedtime. But it would be better, if you brush your teeth after each meal.
• to act very cautiously – children’s teeth are very soft. Don’t damage a tooth enamel.
• slight movements to rub and clean language, because it is a refuge for microbes.
• toddler’s do not have to use toothpaste, as many kids love to eat toothpaste (and usually all the children are doing this with fluoride toothpaste, even though the minimum content) and thus can receive excess doses of fluoride, especially if the water is also fluoridated.
• If you do decide to choose the pasta, try to find a toothpaste or no fluoride or with a minimum content of it.
• Apply a small amount of brush toothpaste – no more of nail in the little finger of your child.
• Baby’s toothbrush stubble should be soft. But remember that soft toothbrush becomes unusable very quickly.
• Even the toothbrush, which still seems new, must be replaced after 6-8 weeks of usage (some experts recommend that you change the brush every 3 weeks), because during this time the bacteria accumulated in brush can get into the mouth.

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How to help your baby

• massage his gums in the place where the tooth should erupt(!!!) with clean finger or with a finger wrapped in a clean bandage (or some other piece of cloth). You must do this action very carefully and gently, without pressure. Your baby will like it.
• Try to give your baby a special gel rings, designed for cooling in the refrigerator – not freezer!.It would be even better to have several such gel rings: one for giving to baby, the other – waiting in the refrigerator. When one ring becomes warm you must thoroughly clean it and – in the refrigerator. And the one that was in the fridge – give to the baby.
• Let the baby chew a piece of cool apple, carrots or fresh cucumber or make a baby cracker made of black bread, baby spend too much time to it (by the way, here is another additional pedagogical lure)
• If the baby temperature rose above 38,5 ° C, give him a single dose of children’s antipyretic according to instructions. You can insert a special ass homeopathic candles.
• You can take advantage of special preparations like “Kalgel”, “Dentinoks-H”, etc. They have a sedative, anesthetic effect, easing pain and removing the baby itch. Just need to follow closely the annotations – no age child under 3 years, the time between uses about half the total number of applications per day – no more than 6 times (but everything depends on the particular drug).

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How to help your baby with teething problem

The development of teeth begins before baby’s birth, precisely, at the 6-8-th week of pregnancy. First, there are 20 embryos of milk teeth. The rudiments of permanent teeth are already formed approximately on 20th week of pregnancy; they are deeper than milk teeth, directly under them.

Baby teeth begin to appear in children on average between 6-8 months. These are the lower corner teeth. The child of 2 years old should have 20 milk teeth. To determine the required number of milk teeth up to the 2 years age, you should take away 4 from the number of existing months.
For example, in 1.5 years the child’s teeth should be 18 – 4 = 14

 But there are cases when the first teeth appear in the age of 3 or 11 months. If deviations from the “norms” are insignificant, do not be anxious, but if the baby is already more than a year, and hasn’t teeth yet, you should consult a doctor for examination (the doctor will do X-rays to determine the rudiments of teeth in the jaw; may be no germs are there.

Teething process occurs in very different ways for each child: for someone this process is painless and does not affect the baby’s well-being, at the same time the other child becomes restless, moody, tearful, “hangs on the breast” or – if the child is not breastfeed – just in the hands of the mother-father, saliva flowing river, the gums swell, turning red, itch, itch, or inversely becoming whiten. Most of the kids sleep poorly at night and always wake up with screams in this period. Besides, the body temperature often rises, and there is dyspepsia. It is important to assess the symptoms properly and not confuse them with a starting viral infection, colds, flu, SARS,etc.

On average the first teeth appear during the seventh month, but can appear only at 12th month, or already at 3d month, in rare cases even earlier, but it happens that the kid is already born with teeth. This is often determined by heredity and other factors. When teething child may shows some or all of the following signs, but it can happens so that no sign is displayed at your baby while teething – all strictly individually:

• Frequently one of the teething symptoms is called salivation. Many children from 8-12 weeks to 3-4 months have plenty of drooling associated with teething.

• At the same time the salivation makes an irritation around the mouth and chin. Saliva dribbles on his chin and because of the soft skin is rubbed, the redness or pimples are formed there. It’s easy to deal with this by any child cream, which you like and best fits your child.
• A child in teething process often bites and can take to his mouth everything as the gums itch and this worries him.
• Inflammation – a protective reaction of delicate gum tissue to teeth erupt. For some kids this is likely to cause severe pain, but others almost does not feel it. The most painful is the first teeth and corner teeth erupting. But for each child all this is in different ways. For one child teeth erupt painless, for the other one all teeth will erupt with all the symptoms and pain.

• When the inflammation is amplified and a small sharp tooth is coming to the surface, the pain in the gums of the child may become almost constant. Again, some children (and their parents) suffer more than the others and become irritable for several weeks.

• When teeth erupt, a child can be capricious at the feeding; wanting to take anything by mouth to make a little ease aching pain and itching, the child behaves as though he is constantly hungry, but as soon begins to suck, a growing sense of discomfort that compels him to reject the breast or bottle, which he so insistently asked for recently. A child who started to eat solid food, may lose all interest in it, but it should not bother you, because he still gets almost all the necessary nutrients from breast milk or artificial formula and appetite will restore as soon as the tooth errupt. Of course, if the child refuses more than two feedings in a row or within a few days, you should contact a pediatrician.

• Many mothers say that whenever their child erupt a tooth, his stool becomes a liquid and there is, quite simply, diarrhea. Some doctors agree that perhaps there might be some connection. Other doctors refuse to acknowledge this connection. So if your child has a liquid stool while teething, you still have to say about this to doctor.

• Fever, as diarrhea is a symptom that doctors don’t hurry to link with teething. Still, some doctors acknowledge that a small increase in temperature – the result of inflammation of the gums. If  child’s temperature rises when teething, just in case, turn down the temperature as you would do it during his illness, and consult a doctor if the temperature is kept longer than 3 days.

• the child’s teeth erupt, not only during the day. The unpleasant sensations that make him naughty during all day, may last at night. Night waking, like the many other problems associated with teething, increasingly concerned about their parents’ while the baby’s  first tooth and corner tooth erupt. If your child is still  breastfeed, the best painkiller during the night for your baby can become your breast. Do not forget it!

• Sometimes, bluish bumps may appear on the gums. Such hematomas should not cause the concerning of parents, and most doctors recommend giving them dissolve itself, without medical intervention. A cold compress can reduce discomfort and accelerate the resorption of hematomas.

• The pain in the gums could spread to the ears and cheeks through the common pathways of the nervous system, especially when comes up the turn of corner teeth, so some kids pulls his ears and rubs his cheeks and chin. But also remember that children are pulling their ears at the middle ear inflammation (otitis). If you suspect this disease, consult a doctor  even you think that it’s because of tooth erupting..

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Types of constipation

There are 2 types of constipation: organic and functional.

Organic constipation associated with developmental disabilities (anatomical defects) of any department in the large intestine. Most organic bars are manifested at birth by the lack of an independent stool. Hirschsprung’s disease and dolichosigmoid are the most often found organic causes of constipation.

Hirschsprung disease – Congenital hypoplasia of the nerve endings in the intestinal wall, resulting in lower regions of the colon occurs narrowing, and in the overlying sections – an extension that creates conditions for the delay stool. Hirschsprung’s disease can be suspected in cases where a child’s independent chair is not autonomic practically from the birth. This disease is very rare – 1 case per 5000 children.

Dolichosigmoid – A lengthening of one of the divisions of the colon – the sigmoid colon. This gut is often increased mobility, which creates conditions for violations of the formation and promotion of stool. It is known that dolichosigmoid is found very often. It is known that among the children aged 3-4 years who suffer from constipation, 40% are children with dolichosigmoid.

There may also be purchased constipation associated with anatomic defects of the intestine, caused by the effects of surgical interventions in the rectal area or in the abdominal cavity – the development of adhesions.

In case of excluding organic causes the constipation is considered as functional.

The causes of functional constipation in infants are:

  • Improper diet for nursing mothers.
  • Inadequate drinking regime for child by artificial feeding.
  • Inadequate drinking regime for child of breastfeeding with the introduction of complementary foods (additional feeding without giving the baby water).
  • Early transfer of the child to artificial feeding.
  • Quick translation of your baby with one mixture to another (less than 7 days).
  • Irrational diet of the child (a child for a long time gets products with high content of proteins, fats, which are poorly digested).
  • The presence of infant rickets, in which there is decreased muscle tone, including the muscles of the intestinal wall. In some cases, after 2-3 weeks constipation in a child disappear by appointment of vitamin D.
  • Consequences of damage to the central nervous system that evolved in the wrong during pregnancy and childbirth.
  • Thyroid gland (hypothyroidism). One of the clinical manifestations of hypothyroidism is constipation.
  • Iron deficiency anemia – iron deficiency occurs when insufficient supply muscles gut oxygen and therefore stated his muscular weakness.
  • Intestinal dysbiosis – a violation of intestinal microflora, which leads to increased decay processes, reducing motor activity of intestine.
  • Food allergies (to the protein of cow’s milk, eggs, fish, soy, cereals containing gluten (glycine)), which leads to inflammatory changes in allergic nature of the gut wall.
  • Important role in the development of functional constipation in children are violations of the act of defecation as a result of oppression or lack of development of the reflex to defecation (conditioned reflex, psychogenic constipation). This type of constipation is often observed in children in the oppressive period of adaptation to new conditions (nursery, kindergarten). Suppression of reflex defecation leads to compaction of the stool, injury to the rectal mucosa, the development of its inflammation, pain during defecation, a “fear of Pot”, compounded by the neurotic disorders.
  • Constipation may develop on the background of long-term medication: antispasmodics – resources, reduce spasms of smooth muscles, for example, the intestines, anticonvulsants, diuretics (diuretics), psychotropic drugs, antibiotics, etc.

 The muscle tone of intestines changes as a result of different above-listed reasons. When the tone of any segment of the intestine occurs spasm, stool can’t pass this place quickly. This is the mechanism of spastic constipation, which is the external manifestation of the presence of dense, fragmented, “sheep” stool. Hypotonic constipation is another kind of functional constipation, for which there’s a delay with the stool in the form of fecal cylinder.

Transitory constipation (temporary delays of stool), can also occurs with children. This may be due to errors in diet, with dehydration stool during the acute febrile states (if the child has high fever, marked sweating, loss of fluid from vomitus, etc.). Babies who are breastfed may develop so-called “false lock”. It arises due to the fact that infants receive a small amount of breast milk, and also because of the presence of congenital defects of the oral cavity (e.g., cleft hard and soft palate), flaccid sucking and regurgitation. In these cases, there is no worth of talking about constipation, and to take emergency measures. With the elimination of the reasons that caused the delay of the stool, its normalization occurs independently. Sometimes it is enough to correct the diet and drinking regime for solving this problem.

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